| NPI | 1811410822 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 103T00000X Psychologist |
| 170300000X Genetic Counselor, MS | |
| Enumeration Date | 2017-07-21 |
| Last Update Date | 2024-08-15 |